Individual
MR. DEREK R. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 W 10TH ST, WILMINGTON, DE 19801-1424
(302) 737-4100
(302) 655-5030
Mailing address
604 W 10TH ST, WILMINGTON, DE 19801-1424
(302) 737-4100
(302) 655-5030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
123126
DE
101YP2500X
Professional Counselor
PC002803
PA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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